Department of Public Health, Maseno University, Kisumu, Kenya and Department of Public Health, Masinde Muliro University of Science and Technology, Kakamega, Kenya.
School of Medicine, Maseno University, Kisumu City, Kenya.
Glob Health Sci Pract. 2023 Feb 28;11(1). doi: 10.9745/GHSP-D-22-00197.
In Kenya, the increased use of motorcycles for transport has led to increased morbidity, mortality, and disability. These injuries exert a burden on the public health system, yet little information exists on health care resource usage by motorcycle crash injury patients. We aimed to estimate the burden of motorcycle crash injuries on the health system in Kisumu City.
We conducted a 6-month prospective study of all motorcycle crash injury patients who presented to 3 Tier III public and private hospitals in Kisumu City between May and November 2019. We collected data on demographics, emergency department (ED) visits, admissions, anatomic injury site, services used, and injury severity. We reviewed hospital records to obtain denominator data on all the conditions presenting to the EDs.
A total of 1,073 motorcycle crash injury cases accounted for 2.0%, 12.0%, and 13.6% of total emergency visits, total injuries, and total admissions to the hospitals, respectively. Men were overrepresented <.001). The mean age was 29.6 years (±standard deviation [SD] 12.19; range=2-84). The average injury severity score was 12.83. Surgical interventions were required by 89.3% of patients admitted. Of the 123 patients admitted to the intensive care unit, 42.3% were due to motorcycle accident injuries.
Motorcycle injuries impose a major burden on the Kisumu City public health system. Increased promotion and reinforcement of appropriate interventions and legislation can help prevent accidents and mitigate their consequences. Focusing on motorcycle injury prevention will reduce accident-related morbidity, hospitalization, severity, and fatalities and the impact on the public health system.
在肯尼亚，摩托车作为交通工具的使用日益增加，导致发病率、死亡率和残疾率上升。这些伤害给公共卫生系统带来了负担，但关于摩托车事故伤害患者医疗资源使用情况的信息很少。我们旨在估计基苏木市摩托车事故伤害对卫生系统的负担。
我们对 2019 年 5 月至 11 月期间在基苏木市 3 家三级公立和私立医院就诊的所有摩托车事故伤害患者进行了为期 6 个月的前瞻性研究。我们收集了人口统计学、急诊科就诊、住院、解剖损伤部位、使用的服务和损伤严重程度的数据。我们查阅了医院记录，以获得所有到急诊科就诊的疾病的分母数据。
共有 1073 例摩托车事故伤害病例，分别占急诊科就诊总人数、总受伤人数和总住院人数的 2.0%、12.0%和 13.6%。男性患者明显居多（<0.001）。平均年龄为 29.6 岁（±标准差 12.19；范围=2-84）。平均损伤严重程度评分为 12.83。需要手术干预的患者比例为 89.3%。在 123 例入住重症监护病房的患者中，42.3%是由于摩托车事故受伤。
摩托车伤害给基苏木市公共卫生系统带来了重大负担。增加对适当干预措施和法规的推广和加强可以帮助预防事故并减轻其后果。关注摩托车伤害预防将减少事故相关的发病率、住院率、严重程度和死亡率，减轻对公共卫生系统的影响。
